MARY KELLER
NPI 1104646454
Counselor - Addiction (Substance Use Disorder) in Blaine, MN

NPI Status: Active since October 11, 2024

Contact Information

10729 TOWN SQUARE DR NE STE 120
BLAINE, MN
ZIP 55449
Phone: (763) 343-9010

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  • Individual
  • Female
  • Counselor
  • Addiction (Substance Use Disorder)
  • Accepts Insurance

About MARY KELLER

This page provides the complete NPI Profile along with additional information for Mary Keller, a provider established in Blaine, Minnesota with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1104646454 assigned on October 2024. The practitioner's primary taxonomy code is 101YA0400X with license number 303034 (MN). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1104646454
Provider Name
MARY KELLER
Gender
Female
Entity Type
Individual
Location Address
10729 TOWN SQUARE DR NE STE 120 BLAINE, MN 55449
Location Phone
(763) 343-9010
Mailing Address
1900 SILVER LAKE RD NW STE 110 NEW BRIGHTON, MN 55112
Mailing Phone
(651) 628-9566
Mailing Fax
Is Sole Proprietor?
Yes
Enumeration Date
10-11-2024
Last Update Date
11-01-2024
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A Substance Abuse or Addiction Counselor like Mary Keller advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
Type
Behavioral Health & Social Service Providers
License No.
303034
License State
MN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Reviews for MARY KELLER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104646454
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210412412410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 2 + 4 + 1 + 2 + 4 + 1 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1104646454 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164071148DR. AMY MORAN WHEELECOR PSYD, LP
Individual
Psychologist10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
(763) 343-9010
1760148910 ROBERT B STEIN
Individual
Social Worker (Clinical)10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
(763) 343-9010
1164007282MS. TAYLOR KRISTINE VACCA MA, BS
Individual
Counselor (Professional)10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
(763) 343-9010
1659777399 LINDSAY JAN SCHWAB-PETERSON NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
(763) 343-9010
1629875430 CAMBRIA LYNE FISHER
Individual
Counselor (Professional)10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
(763) 343-9010
1336418730 TANAGER YVONNE POLOWCHAK MA, LPCC
Individual
Counselor (Professional)10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
(763) 343-9010
1366337834 ASHIALIZ Y OCASIO RIVERA
Individual
Student in an Organized Health Care Education/Training Program10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
(763) 343-9010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104646454, enumerated in the NPI registry as an "individual" on October 11, 2024

The provider is located at 10729 Town Square Dr Ne Ste 120 Blaine, Mn 55449 and the phone number is (763) 343-9010

The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 11, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.